Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED)
0.1.0 - ci-build

Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: PJ2VAERequest1 - JSON Representation

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{
  "resourceType" : "Claim",
  "id" : "PJ2VAERequest1",
  "meta" : {
    "profile" : [
      🔗 "https://elga.moped.at/StructureDefinition/MopedVAERequest"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim PJ2VAERequest1</b></p><a name=\"PJ2VAERequest1\"> </a><a name=\"hcPJ2VAERequest1\"> </a><a name=\"PJ2VAERequest1-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MopedVAERequest.html\">MOPED VAERequest</a></p></div><p><b>Sonderklasse</b>: <a href=\"CodeSystem-SonderklasseCS.html#SonderklasseCS-A\">Sonderklasse CodeSystem A</a>: Allgemeine Gebührenklasse</p><p><b>Verlaengerungstage</b>: 0</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <code>Patient?identifier=urn:oid:1.2.40.0.10.1.4.3.1|2873111374</code></p><p><b>created</b>: 2025-02-17</p><p><b>insurer</b>: <code>Organization?identifier=http://svc.co.at/CodeSystem/ecard-svt-cs|14</code></p><p><b>provider</b>: <code>Organization?identifier=urn:ietf:rfc:3986|urn:oid:1.3.6.1.4.1.36124.5.427</code></p><p><b>encounter</b>: </p><ul><li><code>Encounter?identifier=urn:oid:1.3.6.1.4.1.36124.5.427|324200063</code></li><li><a href=\"Encounter-PJ2TransferEncounter1.html\">Encounter: status = completed; type = Moped Transfer Encounter; subjectStatus = physisch anwesend; actualPeriod = 2024-08-08 08:21:00+0200 --&gt; 2024-08-08 11:22:00+0200</a></li></ul><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-informationcategory info}\">info</span></td><td><span title=\"Codes:{https://elga.moped.at/CodeSystem/VAESupportingInformationTypesCS FREVER}\">Fremdversschluden</span></td><td>false</td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><code>Coverage?identifier=FJK5MCDPMRCY</code></td></tr></table><h3>Accidents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Date</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>0001</td><td><span title=\"Codes:{https://elga.moped.at/CodeSystem/VerdachtArbeitsSchuelerunfallCS 0}\">Nein/Unbekannt</span></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "https://elga.moped.at/StructureDefinition/moped-ext-sonderklasse",
      "valueCoding" : {
        "system" : "https://elga.moped.at/CodeSystem/SonderklasseCS",
        "code" : "A"
      }
    },
    {
      "url" : "https://elga.moped.at/StructureDefinition/moped-ext-verlaengerungstage",
      "valueUnsignedInt" : 0
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "institutional"
      }
    ]
  },
  "use" : "preauthorization",
  "patient" : {
    "reference" : "Patient?identifier=urn:oid:1.2.40.0.10.1.4.3.1|2873111374"
  },
  "created" : "2025-02-17",
  "insurer" : {
    "reference" : "Organization?identifier=http://svc.co.at/CodeSystem/ecard-svt-cs|14"
  },
  "provider" : {
    "reference" : "Organization?identifier=urn:ietf:rfc:3986|urn:oid:1.3.6.1.4.1.36124.5.427"
  },
  "encounter" : [
    {
      "reference" : "Encounter?identifier=urn:oid:1.3.6.1.4.1.36124.5.427|324200063"
    },
    {
      🔗 "reference" : "Encounter/PJ2TransferEncounter1"
    }
  ],
  "supportingInfo" : [
    {
      "sequence" : 1,
      "category" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/claim-informationcategory",
            "code" : "info"
          }
        ]
      },
      "code" : {
        "coding" : [
          {
            "system" : "https://elga.moped.at/CodeSystem/VAESupportingInformationTypesCS",
            "code" : "FREVER"
          }
        ]
      },
      "valueBoolean" : false
    }
  ],
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        "reference" : "Coverage?identifier=FJK5MCDPMRCY"
      }
    }
  ],
  "accident" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
        "valueCode" : "not-applicable"
      }
    ],
    "date" : "0001",
    "type" : {
      "coding" : [
        {
          "system" : "https://elga.moped.at/CodeSystem/VerdachtArbeitsSchuelerunfallCS",
          "code" : "0",
          "display" : "Nein/Unbekannt"
        }
      ]
    }
  }
}